Accessibility of mental health support in China and preferences on web-based services for mood disorders: A qualitative study

Background: The fast development of mobile technologies provides promising opportunities to fulfill the largely unmet needs of treatment and recovery for mood disorders in China. However, with limited research from China, the development of acceptable and usable web-based mental health services that...

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Main Authors: Yuxi Tan, Emily G. Lattie, Yan Qiu, Ziwei Teng, Chujun Wu, Hui Tang, Jindong Chen
Format: Article
Language:English
Published: Elsevier 2021-12-01
Series:Internet Interventions
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214782921001159
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author Yuxi Tan
Emily G. Lattie
Yan Qiu
Ziwei Teng
Chujun Wu
Hui Tang
Jindong Chen
author_facet Yuxi Tan
Emily G. Lattie
Yan Qiu
Ziwei Teng
Chujun Wu
Hui Tang
Jindong Chen
author_sort Yuxi Tan
collection DOAJ
description Background: The fast development of mobile technologies provides promising opportunities to fulfill the largely unmet needs of treatment and recovery for mood disorders in China. However, with limited research from China, the development of acceptable and usable web-based mental health services that are based on preference of patients from China still remains a challenge. Objective: The aims of this paper were to (1) understand the experience of patients with mood disorders on current accessibility of mental health support in China; and (2) to get insights on patients' preferences on web-based mental health services, so as to provide suggestions for the future development of web-based mental health services for mood disorders in China. Methods: Semi-structured interviews were conducted with 10 female participants diagnosed with depression and 7 with bipolar disorder (5 female and 2 male) via the audio chat function of WeChat. The interviews were 60–90 min long and were audio-recorded and transcribed verbatim. Thematic analysis was conducted using QSR NVivo 12 to identify and establish themes and sub-themes. Results: Two major sections of results with a total of 5 themes were identified. The first section was participants' treatment and recovery experience, which included three main themes: (1) professional help seeking experience; (2) establishment of self-help strategies; and (3) complex experiences from various source of social support. The second section was focused on preferences for web-based services, which were divided into two themes: (1) preferred support and features, with three sub-themes: as channels to access professionals, as databases for self-help resources, and as sources of social support; and (2) preferred modality. Conclusions: The access to mental health support for personal recovery of mood disorders in China was perceived by participants as not sufficient. Web-based mental health services that include professional, empathetic social support from real humans, and recovery-oriented, personalized self-help resources are promising to bridge the gap. The advantages of social media like WeChat were emphasized for patients in China. More user-centered research based on social, economic and cultural features are needed for the development of web-based mental health services in China.
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spelling doaj.art-392989ae924b4839a28e740eaa456ba72022-12-21T22:42:54ZengElsevierInternet Interventions2214-78292021-12-0126100475Accessibility of mental health support in China and preferences on web-based services for mood disorders: A qualitative studyYuxi Tan0Emily G. Lattie1Yan Qiu2Ziwei Teng3Chujun Wu4Hui Tang5Jindong Chen6Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China; National Clinical Research Center for Mental Disorders, Changsha, Hunan, China; Institute of Mental Health, Central South University, Changsha, Hunan, ChinaDepartment of Medical Social Sciences, Northwestern University, Chicago, IL, United StatesDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China; National Clinical Research Center for Mental Disorders, Changsha, Hunan, China; Institute of Mental Health, Central South University, Changsha, Hunan, ChinaDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China; National Clinical Research Center for Mental Disorders, Changsha, Hunan, China; Institute of Mental Health, Central South University, Changsha, Hunan, ChinaDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China; National Clinical Research Center for Mental Disorders, Changsha, Hunan, China; Institute of Mental Health, Central South University, Changsha, Hunan, ChinaDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China; National Clinical Research Center for Mental Disorders, Changsha, Hunan, China; Institute of Mental Health, Central South University, Changsha, Hunan, ChinaDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China; National Clinical Research Center for Mental Disorders, Changsha, Hunan, China; Institute of Mental Health, Central South University, Changsha, Hunan, China; Corresponding author at: Department of Psychiatry, The Second Xiangya Hospital, Central South University, 139 Middle Renmin Road, Changsha, Hunan 410011, China.Background: The fast development of mobile technologies provides promising opportunities to fulfill the largely unmet needs of treatment and recovery for mood disorders in China. However, with limited research from China, the development of acceptable and usable web-based mental health services that are based on preference of patients from China still remains a challenge. Objective: The aims of this paper were to (1) understand the experience of patients with mood disorders on current accessibility of mental health support in China; and (2) to get insights on patients' preferences on web-based mental health services, so as to provide suggestions for the future development of web-based mental health services for mood disorders in China. Methods: Semi-structured interviews were conducted with 10 female participants diagnosed with depression and 7 with bipolar disorder (5 female and 2 male) via the audio chat function of WeChat. The interviews were 60–90 min long and were audio-recorded and transcribed verbatim. Thematic analysis was conducted using QSR NVivo 12 to identify and establish themes and sub-themes. Results: Two major sections of results with a total of 5 themes were identified. The first section was participants' treatment and recovery experience, which included three main themes: (1) professional help seeking experience; (2) establishment of self-help strategies; and (3) complex experiences from various source of social support. The second section was focused on preferences for web-based services, which were divided into two themes: (1) preferred support and features, with three sub-themes: as channels to access professionals, as databases for self-help resources, and as sources of social support; and (2) preferred modality. Conclusions: The access to mental health support for personal recovery of mood disorders in China was perceived by participants as not sufficient. Web-based mental health services that include professional, empathetic social support from real humans, and recovery-oriented, personalized self-help resources are promising to bridge the gap. The advantages of social media like WeChat were emphasized for patients in China. More user-centered research based on social, economic and cultural features are needed for the development of web-based mental health services in China.http://www.sciencedirect.com/science/article/pii/S2214782921001159Mental healthWeb-based health serviceMood disorderRecovery
spellingShingle Yuxi Tan
Emily G. Lattie
Yan Qiu
Ziwei Teng
Chujun Wu
Hui Tang
Jindong Chen
Accessibility of mental health support in China and preferences on web-based services for mood disorders: A qualitative study
Internet Interventions
Mental health
Web-based health service
Mood disorder
Recovery
title Accessibility of mental health support in China and preferences on web-based services for mood disorders: A qualitative study
title_full Accessibility of mental health support in China and preferences on web-based services for mood disorders: A qualitative study
title_fullStr Accessibility of mental health support in China and preferences on web-based services for mood disorders: A qualitative study
title_full_unstemmed Accessibility of mental health support in China and preferences on web-based services for mood disorders: A qualitative study
title_short Accessibility of mental health support in China and preferences on web-based services for mood disorders: A qualitative study
title_sort accessibility of mental health support in china and preferences on web based services for mood disorders a qualitative study
topic Mental health
Web-based health service
Mood disorder
Recovery
url http://www.sciencedirect.com/science/article/pii/S2214782921001159
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